Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2016: a systematic anal-ysis for the Global Burden of Disease Study 2016
This book offers a comprehensive review of how social relationships foster well-being and health at various stages of life. By explicitly focusing on three main stages of a person’s life, this book guides the reader through the influences of social relationships on the quality of life in adolescence, adulthood, and old age. Moreover, the book investigates the causal, very often psychological, mechanisms linking social relationships with quality of life. Building on the works of economists, sociologists, communication experts, psychologists and public health experts, this book provides an in-depth description of the possible mechanisms that make social relationships pivotal in people’s life.
Quality of life is a key attribute of a country. Estimating the social impact of economic development we face a problem of measuring. Because of the leading role of technologies and innovations in economic progress of modern society it is reasonable to use a corresponding global index as a measure of technological development of the country or region. Quality of life is a many-sided concept and needs particular approach for its definition in the context of the research. Two main approaches are considered. The former focuses on the population well-being and provides the objective measures of life quality; the latter is concentrated on self-assessment by the people of their quality of life. Both are significant and their using makes the analysis more comprehensive. As an indicator of innovative and technological development the Global Innovative Index (GII) can be used. There are many kinds of indicators of well-being such as Index of Economic Well-Being [Osberg, Sharp, 1998], Index of Social Progress [Estes R.J., 1998], and others. One of the most widely used indicators is the Human Development Index (HDI). A lot of interesting indicators are proposed, but many of them are focused on the particular aspect such as Health-Related Quality of Life [Andersen, 1999], Social Weather Station [Manghas, Guerro, 1998]. Other more universal indicators are often unavailable for most countries or regions of interest. So index based on self-assessment quality of life has been constructed as a first principal component of the partial indexes provided by Gallup. Various types of linear and non-linear regression models for describing the social impact of the innovative development are considered. Additional information sources have been used for explaining of the particular aspects of the problem, and the auxiliary models have been created and analyzed. As a model of the Global Innovative Index influence of the Human Development Index the logistic curve has been proposed. The explanatory power of this model is not the only reason for such a choice. The model may be considered as relevant because of the nature of the well-being indicator used. For self-assessment based quality of life index we can find another situation. Some countries with relatively high HDI show low value of the self-assessment index. It is related with the dynamic of innovative development which has an influence on the social environment of the society. In turn the social environment has a great influence on innovative and technological development of the country. Created models allow estimating social impact of innovative development indexes. The dual role of the social climate may be discussed in the context of the research. From one hand the social climate of the society is formed under influence of the technological environment. From the other hand the latter may be considered as a factor of progress in technology and innovations. Further research may be concentrated on the more comprehensive model of such interaction which evidently will be more complicated one
Importance Comprehensive and timely monitoring of disease burden in all age groups, including children and adolescents, is essential for improving population health.
Objective To quantify and describe levels and trends of mortality and nonfatal health outcomes among children and adolescents from 1990 to 2015 to provide a framework for policy discussion.
Evidence Review Cause-specific mortality and nonfatal health outcomes were analyzed for 195 countries and territories by age group, sex, and year from 1990 to 2015 using standardized approaches for data processing and statistical modeling, with subsequent analysis of the findings to describe levels and trends across geography and time among children and adolescents 19 years or younger. A composite indicator of income, education, and fertility was developed (Socio-demographic Index [SDI]) for each geographic unit and year, which evaluates the historical association between SDI and health loss.
Findings Global child and adolescent mortality decreased from 14.18 million (95% uncertainty interval [UI], 14.09 million to 14.28 million) deaths in 1990 to 7.26 million (95% UI, 7.14 million to 7.39 million) deaths in 2015, but progress has been unevenly distributed. Countries with a lower SDI had a larger proportion of mortality burden (75%) in 2015 than was the case in 1990 (61%). Most deaths in 2015 occurred in South Asia and sub-Saharan Africa. Global trends were driven by reductions in mortality owing to infectious, nutritional, and neonatal disorders, which in the aggregate led to a relative increase in the importance of noncommunicable diseases and injuries in explaining global disease burden. The absolute burden of disability in children and adolescents increased 4.3% (95% UI, 3.1%-5.6%) from 1990 to 2015, with much of the increase owing to population growth and improved survival for children and adolescents to older ages. Other than infectious conditions, many top causes of disability are associated with long-term sequelae of conditions present at birth (eg, neonatal disorders, congenital birth defects, and hemoglobinopathies) and complications of a variety of infections and nutritional deficiencies. Anemia, developmental intellectual disability, hearing loss, epilepsy, and vision loss are important contributors to childhood disability that can arise from multiple causes. Maternal and reproductive health remains a key cause of disease burden in adolescent females, especially in lower-SDI countries. In low-SDI countries, mortality is the primary driver of health loss for children and adolescents, whereas disability predominates in higher-SDI locations; the specific pattern of epidemiological transition varies across diseases and injuries.
Conclusions and Relevance Consistent international attention and investment have led to sustained improvements in causes of health loss among children and adolescents in many countries, although progress has been uneven. The persistence of infectious diseases in some countries, coupled with ongoing epidemiologic transition to injuries and noncommunicable diseases, require all countries to carefully evaluate and implement appropriate strategies to maximize the health of their children and adolescents and for the international community to carefully consider which elements of child and adolescent health should be monitored.
The article is devoted to analysis of approaches to disability in quality of life and well-being studies. Disability is analyzed from the point of view of different research contexts – clinical, social, cultural, historical, positive. As a rule, the studies were performed in the format of the classical methodologies, and they consider the quality of life of people with disabilities from the point of view of the various deficiencies and negative consequences of disability. We propose to understand these effects as conditions, which influence the life disability people, however, are not as the main determinants of their quality of life and subjective well-being. Synthesis of the modern approaches of psychology of personality with the potential of the cultural-historical paradigm allows to overcome the existing methodological dead-ends, associated with exaggeration of the role of limitations in life with disability. Thus, the question of one's quality of life it is possible to raise not only on social groups level, but also on personality level. We substantiated the opportunity and potential of the study of disability as one of the "complicated conditions" of personality development.
This article addresses the questions, What do children in urban areas do on Saturdays? What type of organizational resources do they have access to? Does this vary by social class? Using diary data on children’s activities on Saturdays in the Phoenix-Mesa-Scottsdale metropolitan area, the authors describe the different types of venues (households, businesses, public space, associations, charities, congregations, and government/tribal agencies) that served different types of children. They find that the likelihood of using a charity or business rather than a government or tribal provider increased with family income. Also, the likelihood of using a congregation or a government facility rather than business, charity, or household increased with being Hispanic. The authors discuss implications for the urban division of labor on Saturdays and offer research questions that need further investigation.
This volume of scientific papers IEF RAS includes articles on a wide range of issues of theory and practice analysis and forecasting of national and regional economies and their sectors. The articles raise urgent problems of Russia’s socio-economic development: restoring of economic growth, increase in productivity, transition to a new technological level of production, improving the quality of RF citizens’ life. The book is addressed to researchers, economists, teachers, graduate students, students and readers interested in current and future socio-economic Russia’s problems.
Proceedings of the conference "Molecular basis of epidemiology, diagnosis, prevention and treatment of current infections" 4-6 December 2018
coBverage of specific reproductive health care services as well as assessment of observed versus expected maternal mortality as a function of Socio-Demographic Index (SDI), a summary indicator derived from measures of income per capita, educational attainment, and fertility.
Only ten countries achieved MDG 5, but 122 of 195 countries have already met SDG 3.1. Geographic disparities widened and, in 2015, there were still 24 countries with MMR greater than 400. The proportion of all maternal deaths occurring in the bottom two SDI quintiles, where haemorrhage is the dominant cause of maternal death, increased from roughly 68% in 1990 to more than 80% in 2015. The middle SDI quintile improved the most from 1990 to 2015, but also has the most complicated etiologic profile. Maternal mortality in the highest SDI quintile is mostly due to other direct maternal disorders, indirect maternal disorders, and abortion, ectopic pregnancy, and miscarriage. Historical patterns suggest achievement of SDG 3.1 will require 91% coverage of one antenatal care (ANC) visit, 78% of four ANC visits, 81% of in-facility delivery (IFD), and 87% of skilled birth attendance (SBA).
Several challenges to improving reproductive health lie ahead in the SDG era. Countries should: a) establish or renew systems for collection and timely dissemination of health data; b) expand coverage and improve quality of family planning services, including access to contraception and safe abortion to address high adolescent fertility; c) invest in improving health system capacity, including coverage of routine reproductive health care and of more advanced obstetric care—including emergency obstetric care (EmOC); d) Adapt health systems and data collection systems to monitor and reverse the increase in indirect, other direct, and late maternal deaths, especially in high SDI locations; e) Examine their own performance with respect to their SDI level, using that information to formulate strategies for improving performance and ensuring optimum reproductive health of their population.
Several approaches to the concept of fatherhood present in Western sociological tradition are analyzed and compared: biological determinism, social constructivism and biosocial theory. The problematics of fatherhood and men’s parental practices is marginalized in modern Russian social research devoted to family and this fact makes the traditional inequality in family relations, when the father’s role is considered secondary compared to that of mother, even stronger. However, in Western critical men’s studies several stages can be outlined: the development of “sex roles” paradigm (biological determinism), the emergence of the hegemonic masculinity concept, inter-disciplinary stage (biosocial theory). According to the approach of biological determinism, the role of a father is that of the patriarch, he continues the family line and serves as a model for his ascendants. Social constructivism looks into man’s functions in the family from the point of view of masculine pressure and establishing hegemony over a woman and children. Biosocial theory aims to unite the biological determinacy of fatherhood with social, cultural and personal context. It is shown that these approaches are directly connected with the level of the society development, marriage and family perceptions, the level of egality of gender order.
The article is devoted to the study of the authoritarianism prevalent in the mass consciousness of Russians. The article describes a new approach to the consideration of the authoritarian syndrome as the effects of the cultural trauma as a result of political and socio-cultural transformation of society. The article shows the dynamics of the symptoms of the authoritarianism, which appear in the mass consciousness of Russians from 1993 to 2011. This paper proposes a package of measures aimed at reducing the level of the authoritarianism in Russian society.
This work looks at a model of spatial election competition with two candidates who can spend effort in order to increase their popularity through advertisement. It is shown that under certain condition the political programs of the candidates will be different. The work derives the comparative statics of equilibrium policy platform and campaign spending with respect the distribution of voter policy preferences and the proportionality of the electoral system. In particular, it is whown that the equilibrium does not exist if the policy preferences are distributed over too narrow an interval.
The article examines "regulatory requirements" as a subject of state control over business in Russia. The author deliberately does not use the term "the rule of law". The article states that a set of requirements for business is wider than the legislative regulation.
First, the article analyzes the regulatory nature of the requirements, especially in the technical field. The requirements are considered in relation to the rule of law. The article explores approaches to the definition of regulatory requirements in Russian legal science. The author analyzes legislation definitions for a set of requirements for business. The author concludes that regulatory requirements are not always identical to the rule of law. Regulatory requirements are a set of obligatory requirements for entrepreneurs’ economic activity. Validation failure leads to negative consequences.
Second, the article analyzes the problems of the regulatory requirements in practice. Lack of information about the requirements, their irrelevance and inconsistency are problems of the regulatory requirements in Russia.
Many requirements regulating economic activity are not compatible with the current development level of science and technology. The problems are analyzed on the basis of the Russian judicial practice and annual monitoring reports by Higher School of Economics.
Finally, the author provides an approach to the possible solution of the regulatory requirements’ problem. The author proposes to create a nationwide Internet portal about regulatory requirements. The portal should contain full information about all regulatory requirements. The author recommends extending moratorium on the use of the requirements adopted by the bodies and organizations of the former USSR government.